XO-5 Influencer Product Selection Form

Name *

Email Address *

Phone *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country

Earrings Selection *

ER1ER2ER3ER4ER5ER6ER7ER8ER9ER10ER11ER12ER13ER14ER15ER16ER17ER18ER19ER20ER21ER22ER23ER24ER25ER26ER27ER28ER29ER30ER31ER32ER34

Select 3 products

Hair Accessories Selection *

HC1HC2HC3HC4HC5HC6HC7HC8HC9HC10HC11HC12HC13HC14HC15HC16

Select 1 product

Necklace Selection *

NL1NL2 NL3NL4NL5NL6NL7NL8NL9NL10NL11NL12NL13NL14NL15NL16NL17NL18NL19NL20

Select 3 products

Bracelets Selection *

BR1BR2BR3BR4

Select 1 product

Rings Selection *

RG1RG2RG3RG4RG5RG6RG7RG8RG9RG10RG11RG12RG13RG14

Select 2 products

IG profile *

Tik-Tok Account

YesNoI have read the checklist in the Catalog

Recommendations or Questions